Individual provider Active NPI

Ruth Edwards, H.I.S.

  • Hearing Instrument Specialist
  • Fond Du Lac, WI
National Provider Identifier
1699902189
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
1303-060 Issued in WI
Practice address
770 S Main St
Suite C-14
Fond Du Lac, WI 54935-5766
Phone
(920) 924-9380
Fax
(920) 924-9384
NPI assigned
Jun 11, 2009
Last updated
Jun 11, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 1303-060 WI Primary

Addresses

Primary practice location

770 S Main St
Suite C-14
Fond Du Lac, WI 54935-5766

Mailing address

770 S Main St
Suite C-14
Fond Du Lac, WI 54935-5766
Phone (920) 924-9380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1303-060WIMDHearing Instrument Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1699902189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 S MAIN ST",
            "address_2": "SUITE C-14",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549355766",
            "telephone_number": "920-924-9380",
            "fax_number": "920-924-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 S MAIN ST",
            "address_2": "SUITE C-14",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549355766",
            "telephone_number": "920-924-9380",
            "fax_number": "920-924-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "RUTH",
        "credential": "H.I.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WI",
            "license": "1303-060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.